Individual provider · Type 1 NPI

Mark R. Burgess, LCSW-R

Clinical Social Worker · Batavia, NY

NPI number 1679865554 Active

Practice location

5130 E Main Street Rd, Suite 2
Batavia, NY 14020-3496

Fax (585) 345-3080

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X075758-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1679865554

Mark R. Burgess, LCSW-R's National Provider Identifier is 1679865554, issued on May 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Batavia, NY. The record was last updated on May 10, 2011.